0001209191-17-050840.txt : 20170831 0001209191-17-050840.hdr.sgml : 20170831 20170831113512 ACCESSION NUMBER: 0001209191-17-050840 CONFORMED SUBMISSION TYPE: 3 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20170831 FILED AS OF DATE: 20170831 DATE AS OF CHANGE: 20170831 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Oliver Mary Patricia CENTRAL INDEX KEY: 0001289398 FILING VALUES: FORM TYPE: 3 SEC ACT: 1934 Act SEC FILE NUMBER: 001-36192 FILM NUMBER: 171062647 MAIL ADDRESS: STREET 1: P.O. BOX 1250 CITY: WINSTON SALEM STATE: NC ZIP: 27102-1250 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: CIVISTA BANCSHARES, INC. CENTRAL INDEX KEY: 0000944745 STANDARD INDUSTRIAL CLASSIFICATION: STATE COMMERCIAL BANKS [6022] IRS NUMBER: 341558688 STATE OF INCORPORATION: OH FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 100 EAST WATER ST STREET 2: P O BOX 5016 CITY: SANDUSKY STATE: OH ZIP: 44870 BUSINESS PHONE: 4196254121 MAIL ADDRESS: STREET 1: 100 EAST WATER ST STREET 2: P O BOX 5016 CITY: SANDUSKY STATE: OH ZIP: 44870 FORMER COMPANY: FORMER CONFORMED NAME: FIRST CITIZENS BANC CORP /OH DATE OF NAME CHANGE: 19950502 3 1 doc3.xml FORM 3 SUBMISSION X0206 3 2017-08-31 1 0000944745 CIVISTA BANCSHARES, INC. CIVB 0001289398 Oliver Mary Patricia 950 MAIN AVENUE SUITE 1100 CLEVELAND OH 44113 1 0 0 0 /s/ Mary Patricia Oliver 2017-08-31